R E G I S T R A T I O N | The Southeast Gathering

SEG 2026 Online Registration Form

Family Name (ie, last name) Phone #1
Address Phone #2
City State
Zip
Email
Attendees (first names, last if different) M/F Child's Age Buddy preference*
Fees Number Registered 3 Night Fee 3 Night Subtotal 2 Night Fee 2 Night Subtotal Total
Adults Dorm
0
$160 $0.00 $120 $0.00 $0.00
Semi-private
0
$240 $0.00 $180 $0.00 $0.00
Retreat Village
0
$255 $0.00 $195 $0.00 $0.00
Tenting*
0
$120 $0.00 $80 $0.00 $0.00
Teens (12 - 18) Dorm
0
$105 $0.00 $80 $0.00 $0.00
Semi-private
0
$170 $0.00 $125 $0.00 $0.00
Retreat Village
0
$190 $0.00 $140 $0.00 $0.00
Tenting*
0
$90 $0.00 $60 $0.00 $0.00
Children (3-11) Children under 3 stay free. Dorm
0
$65 $0.00 $45 $0.00 $0.00
Semi-private
0
$100 $0.00 $65 $0.00 $0.00
Retreat Village
0
$110 $0.00 $75 $0.00 $0.00
Tenting*
0
$60 $0.00 $40 $0.00 $0.00
Tenting folks Add $25 per tent Number of Tents:
0
$0.00
*For dorms, rent or bring your own: Linens: sheets/blanket - $10
0
Pillow: $2
0
Extra Blanket: $2
0
Extra Towel: $2
0
(Bedding/linens come with Semi-private and Retreat Village) $0.00
Day visitors Whole day - meals, no nights Adults / Teens:
$40		 # Adults / Teens
0
# Days
0
$0.00
Children:
$20		 # Children
0
# Days
0
$0.00
Day visitors Partial - includes one meal Adults / Teens:
$20		 # Adults / Teens
0
# Days
0
$0.00
Children:
$10		 # Children
0
# Days
0
$0.00
Donation $5 $10 $15 Other: $ $0.00
Any Special Needs / Requests, please share them here.-->
Suggested payment dates 2/5/2015, 3/5/2015, and 4/1/2015.
Final payment due date 4/1/2015		 Subtotal $0.00

Payment methods:

[] Credit card via PayPal
[] Personal check sent by mail
[] Personal check onsite - Overnight Guest ($25)
[] Personal check onsite - Day Visitor ($5)
Onsite Fee $0.00
Total Fees $0.00
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Online Form Instructions:

Click the Or the buttons to increase or decrease the count for that particular item.

For those paying by check, after confirming your registration on the next page, please press the "print" button and mail your printed confirmation in (address on second page). If paying by credit card or your Pay Pal account you do not need to mail in the form.

Accommodations:

  • We have limited accommodations for special needs; first come, first served.
  • If requesting a buddy preference, reserve at the same time to ensure success.
  • Rooms in semi-private cabins and motel-like Retreat Village go fast, so act now.
  • Tent sites are also available for those with camping gear.

Financial Aid

First, complete the online registration form and state how much you can afford to pay in the comments/special needs area and we will contact you.

Extras:

  • For dorms or for extra comfort, linens, blankets, and extra towels available at cost - see form on left.
  • Donations Help those who would otherwise not be able to attend. Give as you can.
  • Suggested payment dates are: 2/5/2015, 3/5/2015, and 4/1/2015. Final payment due date 4/1/2015